# ACTIVE FEET, FOOT & ANKLE HEALTH CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Midwest Podiarty Centers
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194158154
- **Authorized official:** DR. BRYAN L MOHR DP (DR OF PODIATRY)
- **Authorized official phone:** (612) 200-8020

## Contact information

- **Practice address:** 6625 LYNDALE AVE S STE 105, MINNEAPOLIS, MN 55423-2673
- **Practice address phone:** (612) 788-8778
- **Mailing address:** 6625 LYNDALE AVE S STE 300, RICHFIELD, MN 55423-2491
- **Mailing address phone:** (612) 788-8778

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 631 | MN | Yes |

## Other

- **Enumeration date:** 08/14/2013
- **Last updated:** 11/01/2018